HomeMy WebLinkAbout18-19287 CITY OF ZEPHYRHILLS
5335-8TN STREET' `
. � (813)780-0020 192$7
BUILDING PERMIT
PERMIT INFORMATIOfV L,OCATION INFORMATION
Permit Number: 19287 Acldress: 4712 �A FORCE ST
Permit Type: MECHANICAL ZEPHYRHILLS, FL. ;
Ciass of Work: A/C CHARIGEOUT Tawnship: Range. BQak: ;
Propased Use: NOT APPLICABLE Lot(s): Block: Section: i
Square Feet: Subdivision: EDGEWOOD
Est.Vatue: Parcei Number: 14-26-21-0260-00000-0190
Imprav. Cast: 6,609.00 OWNER lNFORMATION
Date Issuec�: 210912018 Name: VUI��.IAMS JENNIFER JONES
Tatal Fees: 75.00 Address: 4712 LA FORCE ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-56'f0 �
Date Paid: 2/09/2018 Phone:
Work Desc: A/C CHANGE OUT 3 TON
CONTRACTOR S APPLICATION FEES
AND SERVICES A/C CHANGEOUT 75.Q0
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Ins ections Re uired
DUCTS! TALLED
t�UCTS INSULATFD�
FINAL_=+�; �
REINSPECTI'ON FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local gavernment shall impose a fee of faar times the amounfi of the fee impased for the initiat inspectian or
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In additian to the requirements of this permit, there maybe additiona( restrictions appficable to this property that
may be found in the pu6lic records of this caunty, and there may be additionai permits required from other governmental
entities such as water management, state agencies or federal agencies. '
"1Narning to ovrmer; Yaur failure to record a notice of commencemer►t may result in your paying twice for !
improvements#o your property. If yau intend ta obtain financing, consult with yaur lender or an attorney�
before record'mg your notice af c�mmencement." �
Complete Plans,Specificatians Must Accompany Application.All wark shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. ;
IVO OCCUPANCY BEFORE C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
� PERMIT EXPIRES IN fi MONTHS 1NITHUUT APPR4VED INSPECTION
CALL FOR INSPECTION - 81�IOUR NOTICE REQUIRED
� PRt�TECT CARD FROM WEATHER
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81378Q0020 City of Zephyrhills Pertnit Application Fax-81&780-0021
Building Department '
� , • � D�te Rxehnd p�— �� l � Phorw Contaet for Permlttln �� 3 ��0� _ ci�(S 7-
Owmrs Nam� �:-y�:r+'tc�(L� ��L�\�-..�w$ Owner Phone Numbar 6�' ��� '�l�(�(
����d� l� 1 a L�} \—c��5c S 1 p�er Phorro Number ,
FN Slmple ittleholde Name Owner Phone Number
F��Simpb Tltlehold� /Wdws� �
JOB ADDRESS l 1 I� L� !—O�e S 1 T'<-�� �`'�-�S LOT� ��
SUBDM810N �p Cl e��� PARCEL IDS ��'Z�p'"�I � �L fo O�OO O U O— �,(g() �
(OHTNNED FROY PROPFRIY TAX XOTICh7
WORK PROPOSED B NEW CANSTR B ADD/ALT Q SIGN Q Q DEMOLISH I
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER i
7YPE OF CONSTRU ON Q BLOCK Q FRAME Q STEEL Q
��.' ��'1� � � c�J'.O e.� l�{ Sc"e�� �`�� �(C�-�` lit se i 1 ��� �
DE8CRIPTION OF W RK � �
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BUILDINO SIZE SC FOOTAOE� HEIOHT �
Q BUILDING 5 VALUATION OF TOTAL CONSTRUCTION I
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QELECTRIC S AMP SERVICE Q PROORESS ENERGY Q W.R.E.C.
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OPLUMBING S , �
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�MECHANIC E�.j�Ur t1 VALUATION OF MECHANICAL INSTALLATION
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O(`,pS Q ROOFING Q SPECIALTY Q OTHER ,
FINISHED FLOOR EL ATIONS FLOOD ZONE AREA QYES NO I
BUILDER �P�' �
g�G�7�(� REGISTERED Y I N FEe Cuw� Y/N I
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Addr�as Ueense# �
ELEC7WCIAlI COMPANIf
g�G�7�� REGIS7ERm Y/N FEE CURne� Y/N
Addnss License#
PLUMBER C�P�
SIONATURE RE613TERED Y 1 N �cuAaEn Y/N �
Aadr... ucense�l � !
MECNANICAL l COMPANY �"'D �'�►Ce S I
g�p�NpE REGISTERED Y/N FEE CURREn Y/N
Ad'drosa �1 l7 hL �A'�C� �lG� License# �G l��l.s 1 ;
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OTHER COMPANY !
SIGNA7URE REGISTFFED Y I N FEE CURREt� Y/N �
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Addnss Licenae p
nrr�rr� r n-rr� � � rrrr��-rlrrrrri � rr�T» � nr�ir��T� r��� rr� �T�rrrnirrr�
RESIDENTIAL ch(2)Piot Plans;(2)seta of Building Plans;(1)set of Energy Fortns;R-O-W PertnH for new construetlon,
Inlmum ten(10)worldng deys etter submlttel date. Requlred orrelte,Conatructlan Plans,Startnwater Plerte w/Sllt Fence Inatelled.
ifery Fadl}tles 81 dumpster,Site Work PermB for eubdh�islonsAarge proJeGs
COINMERCIAL (3j complete seffi of Bullding Plans plus e Lffe Safety Page;(1)set ot Energy Fortns.R-O-W Pertnk for new eonatrudlon.
Inimum ten(10)worldng days aRer submlttel date. Requlred ansite,Conatruedon Plans,Stormwater Plans w/Sitt Fence Instaited,
�tery Facpftlea 81 dumpster.SRe Work Pertnk for ell new proJaets.AII eommercial raquiremerds must meet eompliance
SIGN PERNR ch(2)sets of Engineerod Plans.
OPERTY SURVEY required for ell NEW conaWcnon.
Dinetlons:
Fiil outappiiea compleTey.
Owner 8 ctor sign badc ot applfcatlan,notarbsd
H owr i�500, NoUee of CammeneemeM la requlrod. (INC upgredes ov�r=7500)
" Agant(for the tractor)or Power af Attomey(for ihe owner)wouW be someone with notarized letter from owner aufhori�Ing eame !
OVER THE COU R PERM(7'T1NG (Fmnt oi Appllcatlon Only) �
Reroot6 fl ahtngles Sewers Serviee Uppradea AIC Feneea(PIoUSurvey/Footege)
Wlv�wrys-N over Counter if on puWic roedwsys..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restrictions° i
_ � which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any ,
� applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- �
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign �
portions of the"contractor Block°of this application for which they will be responsible. If you,as the owner sign as the �
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco ,
County. �
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands �
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a°certificate of occupanc}r'or final power release. If the project daes not involve a certificate of occupancy or
final power release,the fees must be paid priar to permit issuance. Furthermore, if Pasco County WatedSewer Impact i
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): if valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Flarida Department of Agriculture and Consumer Affairs. If the applicant is someone �
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner°prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work
will be dane in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
consVuction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility ta identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department af Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment. I
- Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. �
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, �
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. ,
I understand that the following restrictions apply to the use of fili:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"wili be submitted at time of permitting which is prepared by a professional engineer �
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wali.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in �
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically included in the application. A �
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,aiter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Offtcial from thereafter
requiring a correction of errors in plans,construction or violations of any cades. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of pertnit issuance,or if work authorized by
the permit is suspended or abandoned for a periad of six(6)months after the time the work is commenced. An extension �d�s^s,o�
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate o �p 9„
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. �;��
o���h�7�oC
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR I
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT�N FINANCING,CONSULT ro��o
WITH YOUR LEND R OR AN ATTORNEY BEFQRE RECORDING Y UR NOTI�OF C ENCEMENT. �o��
----FLORIDA JURAl'(F:S.-117.03) ' ---- —-- ---—---- ---- - - -�' B-<-- --
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OWNERORAGENT CONTRACTOR '� "�
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Subscribed and swom to(or affirtned)before me this Su s bed nd s m to(or affirtned)bef ine lhfe N �
bY �'��I� by /ti'1 A e��G STr��-- N��r�
Who Is/are personalty known to me or has/have produced Who is/are personelly known to me or has/have produced �� m
as identificatian. as identffiption. o 0
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Notary Public 1 � F�C Notary Public
Commission No. Commissian No. l� �d'�3
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Name of Notary typed,printed or stamped Name af Notary ed,printed or stemped
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Phone:800-COOL NOW I
'PROPOSAL Tei:(863) 808-0590
� .�r`'uV• . 5622 Tel:(613) 440.2225
, - Tel:(727)483•5555
contact@coolnow.com
Installation Date: Z /�/_L www,coolnow.coro
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Customer name:� n � � �� � � � Date: '
T{N.�.�✓ Wi I�iHuS Z'7—(�
Street address pf job location: �.��Z �� s� City: Z � ��� FL ZiP:3 3•SYZ
Primaryphone: _�� _ Otherphone: Email: � � � �
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� 10 Year AlI Part ♦ 10 Year All Part ' .� 10 Year AlI Part `� 10 Year AlI Part Wartanty
�'CompressorLife7imeWartanty ✓ 10YearCompressorWamanty .' 10YearCompressorWartanty ✓ 5YearCompressorWartanty I
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� • � • � • •
❑ Replacement ❑Add-on Air ConditioninglHeatlBoth O Replacement ❑Add-on Air Conditioynin�g�lHeaUBoth I
❑ Air Handler/Fumace ❑ Vertical ❑ Horizontal �Heat Pump ❑Air Conditioner Ld9�ackage Unit
�New Digilal Thertnostat❑ Non-Program. ❑ Program. �,�tons�SEER �"' BTUH s
New Digital Programmable Therm. with Humidily Control �..Model �1�,-y�
❑ Relocate from to �Hurricane Pad ❑Plastic Pad
� ❑ Relocate from to
❑ NewAHU Stand:❑ Metal❑ COstom ❑ New safety dis"connect switch
❑ Filtration: ❑ Permanent Washable Fiiter•❑ Grille_ ❑ New 100%copper,dehydraled refrigemat piping
❑ New safety disconnect swilch ❑ Surge Protection ❑ Fulty insulate suclion line piping i
❑ New wire from breaker panel to equipment ❑ Net4 water tight elecVical whip , �
❑ VenUFlue: ❑ Completenew ❑Useexisting '�Y_. �^i„3 U�/ i
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❑ Engineered duct system for tons vents ✓ All labor
❑ Economy ❑Anti-Microbial $ ✓ Obtaining pertnits(where required)
❑ NON-FIBERGLASS-100%Rust Resistant Galvanized Sheet `� New A/C circuit protection Brand=
Metal Duct System.Energy Saving Insulation Included. Exiting size is: / Change to: /
❑ Rooms requiring additional airflow: ✓ Heating and Cooling routine maintenance for�_years
❑ New supply vent to: ✓ Check entire system for safety and efficiency '
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❑ New return vent to: ✓ Shoe covers,mats and drop cloths to be used as necessary I
� �:�,..., a..� �r�G, �u�l1 ✓ Remove existing equipment from premises ;
� ✓ Clean u �
❑ Mastic and seal all leaking joints p
❑ Duct Sanitizing
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♦ 24Hou�Fix/t o�Hote/Guarantee:Unlike most companies,we are a service company.We have a slaRof qualfied service technicians ihat
are there to serve you in lhe unlikely event your system has a problem.So our guarantee to you is that when we arrive,we guarantee ihat we will
have your system up and running wiNin 24 hours of our artival or we will put you up in the local Embassy Suites for the nighl
♦ Low Piice Guarentee:Anybne can make something cheaper by cutting corners and pricing it for Iess.So,iPs impbrtant to knowwhat Is and is
nol inclutled in any heating and cooling system you choose for your home.Our Price Guarantee is our promise to you that you cannot find a com- �
pareble Insfalla6on for less. or we'll pay you a S50.00 bonus over the difFerence.All we ask is that it be a published'apples-to-apples'compari- i
son,within'14 Aays of purchase;and have the same writlen installation specifications as CN. �
♦ InstallaUon Woikmanship Guarantee: Our installation technicians are the best in skill,attitude and workmanship.Theyll care tor your �
home and compiete the job vnth speed and precision.They wear Floor savers,clean up when they are finished end take personal iesponsibility fo� I
your saf(sfaction.They wiil not smoke or swear in your home and they are polite and courteous.If,when they have finished in your home,they i
have not performed in accardance with these high standards,we'll refund whatever amount of the purchase price you feel to be falr.All we ask Is
that our o�ce be no�ed of any level of dissatistaction b'efore the technicians leave the home so that any issues can be addressed accordingly.
♦ Excluslve "No Lemons"Guarantee:If fhe Compressor(the heart of your system)in yourAir Conditioner fails during the first five years of
ownership we will remove the e'ntire unit,rather than the component,and install a complelely new one if you've ever bought a'lemon'before,
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♦ No Mold"Guarentee:We are so confident in�our Advanced IAp.-UV Sterilization&M.E.R.V filtrations systems ability to keep your system
clean that we guarantee with proper annuai mainlenance your system will be mold free tor life or we will perform any necessary cleaning to the air
handler lo remedy the�problem at our expense." � -
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Total Inveslment $��04 (-)Power Company Rebate$ (-)Service Repair Refund$
Net Total Investment After All Discounts Including Power Company&Manufacture rebates$
This High E�ciency Home Comfort Systein is available with 100%bank financing with no money down for$ per month
(wiN appmve0 uetliq
CN Representative ��,.,�T Date of proposal_�/�/��
asiomer a9rees�o prowe a�s�o me won area ene e sate wori��emi�ommem me etwa Pnces,s�de�uore,ieims,e�a mmman a�a sausrenory a�a irereey aereee m m tmi.i na�o
e�rtno�meon�o ome��m ero��e emno��a eo ao wofk es scetified PeymeM wI0 Ce maAe es oWi�retl.I un0ereta�M Ihat you ere rmt reaponsibie Iw eveNs or Eelaya beyoM ypin earitroL ��
Owner egreea to raery a Ot fire,slom�a ,Mhe n ssary Irmuan . I I ow woM1in ere eovered by Wa�Mnen'e Campense4an ard Gatre21 LlabLly Insvarr»II wllection Is nacessary,
Wy grees Io pay all mlle ts e`M Inte esL _
CuslomerApproval Date: Z /�_//� I
01995 Caoi Now^'